| Mary Kay Bickmann, CRNA | |
|
44045 Riverside Pkwy, Leesburg, VA 20176-5101 | |
| (703) 858-6000 | |
| Not Available |
| Full Name | Mary Kay Bickmann |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 37 Years |
| Location | 44045 Riverside Pkwy, Leesburg, Virginia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366418394 | NPI | - | NPPES |
| 430F373940 | Other | MI | BCBSM |
| 3284918 | Medicaid | MI | |
| 1366418394 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4704153665 (Michigan) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 0024170746 (Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Munson Medical Center | 3072426287 | 345 |
| Entity Name | William Beaumont Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811044878 PECOS PAC ID: 9335051093 Enrollment ID: O20040312000217 |
| Entity Name | Munson Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821398322 PECOS PAC ID: 8820277015 Enrollment ID: O20110120000061 |
| Entity Name | Northstar Anesthesia Of Michigan Iii Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972126209 PECOS PAC ID: 7911325469 Enrollment ID: O20200915001990 |
| Entity Name | Munson Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710735287 PECOS PAC ID: 3072426287 Enrollment ID: O20250131002194 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Kay Bickmann, CRNA 3100 Spring Forest Rd, Suite 130, Raleigh, NC 27616-2880 Ph: (919) 882-0705 | Mary Kay Bickmann, CRNA 44045 Riverside Pkwy, Leesburg, VA 20176-5101 Ph: (703) 858-6000 |
Jennifer Gut, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 44045 Riverside Pkwy, Leesburg, VA 20176 Phone: 703-858-6000 Fax: 571-209-6465 | |
Mr. Andrew Sanders Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 44045 Riverside Pkwy, Inova Loudoun Hospital, Leesburg, VA 20176 Phone: 703-858-6000 | |
Ms. Mintra Sarasup, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 44045 Riverside Pkwy, Leesburg, VA 20176 Phone: 703-858-6000 | |
Shannon Wyn Mayo, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 44045 Riverside Pkwy, Leesburg, VA 20176 Phone: 703-858-6000 Fax: 571-209-6465 | |
Douglas Huff, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 44045 Riverside Pkwy, Leesburg, VA 20176 Phone: 703-858-6000 Fax: 571-209-6465 | |
Ms. Michelle G Lambert, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 44045 Riverside Pkwy, Leesburg, VA 20176 Phone: 703-858-6000 | |
Ms. Khushwant Bhatti, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 44045 Riverside Pkwy, Leesburg, VA 20176 Phone: 703-858-6000 |